| NPI | 1366495681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 50897) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 37669) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME149713) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-08-22 |