| NPI | 1275578940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 43771) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 045394) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-12-02 |