| NPI | 1740712868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 05318) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KY R4403) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-05-24 |