| NPI | 1730314030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-16991) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 273978-1) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2024-04-28 |