| NPI | 1912264854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN DO3632) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 1122) |
| 208D00000X General Practice (Licence: NE 1122) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2022-08-29 |