| NPI | 1811229057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 23934) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX p5866) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2017-11-03 |