| NPI | 1659596898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2017-01102) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 14243) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2018-08-06 |