| NPI | 1780085092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 22257) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D90509) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2022-10-26 |