| NPI | 1720292352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD-16498) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2004015401) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-02-03 |