| NPI | 1982854527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME131897) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 003230) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2020-09-01 |