| NPI | 1407064421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64921) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: WA MD00045415) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00045415) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-03-29 |