| NPI | 1013958883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 0420010799) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 18389) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-05-02 |