| NPI | 1265845192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 31492) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 7202) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-05-01 |