| NPI | 1033193636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME94673) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301512441) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2024-07-24 |