| NPI | 1295954360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A112899) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 5370) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-12-14 |