| NPI | 1174978035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 68076) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2021012155) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-03-31 |