| NPI | 1235270414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61025342) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD186193) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01060978A) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-07-01 |