| NPI | 1770673394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A102977) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 4831483-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-03-21 |