| NPI | 1912293036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101019272) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 5101019272) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2021-04-08 |