| NPI | 1679989925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME129101) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A172622) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 57718) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-05-01 |