| NPI | 1225021801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 32964) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD28834) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-07-21 |