| NPI | 1417984402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD40733) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 40733) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-04-02 |