| NPI | 1699824771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C179275) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT182757) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60074878) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-09-06 |