| NPI | 1831229095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60067516) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: LA MD.203656) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-03-29 |