| NPI | 1912403692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101268209) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 67730) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-08-08 |