| NPI | 1952697484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 69594) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0079179) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-10-14 |