| NPI | 1730821950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY P114816) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: NY 316536) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY P114816) | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-07-17 |