| NPI | 1043508617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269724) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 304543) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2018-08-07 |