| NPI | 1790731818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 191079) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD476798) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01091382A) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-08-29 |