| NPI | 1467630954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 81739) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 20901-875) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-06-26 |