| NPI | 1922085976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: NY 151424) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 151424) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |