| NPI | 1609919174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 75882) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 220255) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-01-20 |