| NPI | 1457401085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-00733) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 17888) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-08-14 |