| NPI | 1679741540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104593) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14425) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-03-17 |