| NPI | 1164711180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 70151) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 277809) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-07-31 |