| NPI | 1922289123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 17806) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M8017) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2022-07-21 |