| NPI | 1689069437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD048613) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 28833) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-06-07 |