| NPI | 1699928150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 44899) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40136) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-08-09 |