| NPI | 1770574840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD450405) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 220011) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-31 |