| NPI | 1396139895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 57593) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 59381) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-09-21 |