| NPI | 1093153314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 62730) |
| Additional Taxonomies | 2085N0700X (Licence: CT 62730) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2023-09-07 |