| NPI | 1962521419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A109806) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 229037) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-07-09 |