| NPI | 1386062511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 56844) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63420) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-06-21 |