| NPI | 1922361666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: NY 288673) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NY 288673) |
| 2085N0904X (Licence: NY 288673) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 288673) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-04-14 |