| NPI | 1619957909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: MO 101166) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 101166) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MO 101166) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-07-11 |