| NPI | 1568983484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101280886) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 8184) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-08-08 |