| NPI | 1760693352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 240661) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OR 179827) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-03-25 |