| NPI | 1295016780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 75407) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: GA 75407) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-03-18 |