| NPI | 1396977211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A115390) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 65892) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2022-02-02 |