| NPI | 1598961146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 48458) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2009005088) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-06-22 |