| NPI | 1992802847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 186027) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME164427) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-02 |