| NPI | 1871575977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 68516) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 34350) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-09-05 |