| NPI | 1457589699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M13201) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 115078) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-06-28 |