| NPI | 1508181991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60644634) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 253654) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2021-05-26 |