| NPI | 1306895016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: ID M-6257) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD18267) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-03-28 |