| NPI | 1568691392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 287283) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73425) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-06-25 |