| NPI | 1790875318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD27336) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 377441-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-09-01 |