| NPI | 1306293741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V1753) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291002) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-09-03 |