| NPI | 1821313750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 282880) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA md454042) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2016-04-29 |