| NPI | 1386039519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL OS17804) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL UO4610) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-08-23 |