| NPI | 1780888750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R9965) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 254585) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-04-09 |