| NPI | 1124018890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101278490) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 72051) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-06-13 |