| NPI | 1467499053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60240355) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 78075) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-05-12 |