| NPI | 1801843149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00024442) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G45119) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-01-09 |