| NPI | 1336638048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL L.5580SP) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T5241) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-09-07 |