| NPI | 1649640343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-03142) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D85219) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-07-22 |