| NPI | 1053647826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 52490) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 108057) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2021-04-06 |