| NPI | 1184003949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301505354) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 303164) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-08-25 |