| NPI | 1730387622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 89644) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL29856) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 263659) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-07-30 |