| NPI | 1487851556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104941) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 332706) |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2022-08-10 |