| NPI | 1093903544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 42946) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 46837) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2021-03-04 |