| NPI | 1932367778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 243651) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 244554-1) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2011-10-04 |