| NPI | 1932179124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2009-0746) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 157670) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2015-06-23 |