| NPI | 1669414223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0060472) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 13913) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2021-07-08 |