| NPI | 1801884762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 10057) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 203887) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-03-07 |