| NPI | 1679702658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2017-01684) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0081031) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-07-21 |