| NPI | 1790080752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R0081) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 250026) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 441792) | |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2017-04-07 |