| NPI | 1851345037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 43531) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME58418) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-10-18 |