| NPI | 1518385954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 127180) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 70679) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-10-02 |