| NPI | 1821527490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: NY 314907) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2023-00958) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 314907) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-01-26 |