| NPI | 1356323174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 11373) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 219965) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2022-07-27 |