| NPI | 1871932301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 276595-1) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 276595-1) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-03-28 |