| NPI | 1942477203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301506413) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14757) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-09-01 |