| NPI | 1831540178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 39581) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC LL39581) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-04-26 |