| NPI | 1891896601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D68137) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 237253) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-09-01 |