| NPI | 1710354352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDRH.0068883) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 275112) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-09-19 |