| NPI | 1740276765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 65448) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 218614) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-10-20 |