| NPI | 1841600194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 60862) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2018002966) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-08-17 |