| NPI | 1831621507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0070639) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 80014) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-06-14 |