| NPI | 1356420038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME155941) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A90389) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-06-16 |