| NPI | 1598142820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A165728) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 33528) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-10-10 |