| NPI | 1346568565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 28452) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY C0815) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-09-06 |