| NPI | 1750553426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 54592) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 269581) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2022-04-08 |