| NPI | 1912394057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61323220) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 274617) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-03-29 |