| NPI | 1982631925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 158128) |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics (Licence: NY 158128) |
| 2085N0700X Radiology, Neuroradiology (Licence: NY 158128) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-01-06 |