| NPI | 1023617842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TN 194458) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 491973) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |