| NPI | 1669543708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00028563) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 306861) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2019-04-15 |