| NPI | 1780698019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 236166) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D61672) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 20997) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-12-06 |