| NPI | 1720385628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 269055) |
| Additional Taxonomies | 284300000X Special Hospital |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2014-04-10 |