| NPI | 1689668675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 76173) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 76173) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-01-12 |