| NPI | 1740407618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24531) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 4812) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-06-07 |