| NPI | 1770993271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY TP594) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A159781) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61265550) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2024-03-07 |