| NPI | 1174731533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 230902) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 230902) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-06-02 |