| NPI | 1093058562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 91027) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 273335) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-09-27 |