| NPI | 1093903353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60017166) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A88631) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 11800797-1205) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-11-19 |