| NPI | 1003122698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 464313) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 5693620) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2024-01-03 |