| NPI | 1396050332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA 136251) |
| Additional Taxonomies | 2085N0700X (Licence: GA 078505) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A136251) | |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2022-08-05 |