| NPI | 1073731147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 076934) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP00477) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-09-23 |