| NPI | 1932330305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 26976) |
| Additional Taxonomies | 2085N0700X (Licence: MA 241374) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-10-04 |