| NPI | 1891783759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 8846) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 160377) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-03-15 |