| NPI | 1891922316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2022-00809) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60637575) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 265646) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-06-10 |