| NPI | 1467866160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-44872) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 108421) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-04-20 |