| NPI | 1730673823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 403550) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 403550) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |