| NPI | 1982881389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 0) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 049349) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2015-05-14 |