| NPI | 1639303050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087860) |
| Additional Taxonomies | 2085N0700X (Licence: CO DR0055134) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-12-18 |