| NPI | 1023371499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2017008828) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 63439) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-08-15 |