| NPI | 1174866305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 72061) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 325487) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 63599) | |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2024-07-31 |