| NPI | 1467270462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SC 14-6592) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 348807) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |