| NPI | 1811945512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101259312) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 30834) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-01-09 |