| NPI | 1255864377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61154854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2019-01737) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-04-18 |