| NPI | 1821539420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 280191) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 280191) |
| 2085N0904X Radiology Nuclear Radiology (Licence: NY 280191) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-05-07 |