| NPI | 1902993918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL TRN7936) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 53140) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-09-20 |