| NPI | 1649400870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2015027345) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NM A-2171-18) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-07-11 |