| NPI | 1780648766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A94905) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 226792) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-01-30 |