| NPI | 1770520520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD36874) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 39586) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39586) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-03-21 |