| NPI | 1497734784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R9E96) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO R9E96) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2019-11-15 |