| NPI | 1730159914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E1315) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 20630) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-04-30 |