| NPI | 1740456912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 256437) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 224920) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A106901) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2017-07-12 |