| NPI | 1417242983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101281092) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 270471) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-11-07 |