| NPI | 1770945016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 310148) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 310148) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 009541) | |
| 208600000X Surgery (Licence: MA 268159) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-07-09 |