| NPI | 1003987124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0063973) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A122013) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-07-10 |