| NPI | 1780692541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NY 276263-1) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD418887) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-03-31 |