| NPI | 1679505382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN MD26325) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TN MD 0000026325) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-09-21 |