| NPI | 1790076941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A146680) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 268089) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-05-04 |