| NPI | 1215360664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022012490) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 95465) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-05-19 |