| NPI | 1992908529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 191764) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 191764) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2018-11-28 |