| NPI | 1710061874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 65378) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 97-00985) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-10-13 |