| NPI | 1508229824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0067244) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2021014058) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-08-19 |