| NPI | 1407381742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0071141) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2022005151) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-08-09 |