| NPI | 1720373376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A131561) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 261210) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2013-00658) | |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2023-09-01 |