| NPI | 1083719892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 13868) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: VT 042.0012084) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |