| NPI | 1235370800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108731) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 323985) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-06-22 |