| NPI | 1982929568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277400) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME126682) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME126682) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2019-08-30 |