| NPI | 1043707813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2023-00662) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 279109) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-06-22 |