| NPI | 1689197196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A185607) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 272650) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-10-15 |