| NPI | 1699707901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD08406) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 81426) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-03-07 |