| NPI | 1902837602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 177579) |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics (Licence: NY 177676) |
| 2085R0205X Radiology, Radiological Physics (Licence: NY 177579) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-31 |