| NPI | 1467865824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160039) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 66113) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 54637) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-01-06 |