| NPI | 1427450212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A168940) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2019019873) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-08-29 |