| NPI | 1295945673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 2591) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 307567) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-07-28 |