| NPI | 1801969886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00036228) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 00027513) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-08-30 |