| NPI | 1902812704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI 11286) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: HI 11286) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-05-04 |