| NPI | 1649209776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 18912) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 33448) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-03-07 |