| NPI | 1699083345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 4695) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-01-29 |