| NPI | 1487966024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 266300) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 311067) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-04-13 |