| NPI | 1366857930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-02191) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC LL36828) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-03-10 |