| NPI | 1154564672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 47704) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 79098) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-09-30 |