| NPI | 1154559631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V2225) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 260182) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-08-30 |