| NPI | 1952359762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 21642) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 34530) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-04-01 |