| NPI | 1316390446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 74879) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 315320) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A172496) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-01-02 |