| NPI | 1962768127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 308220) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 78108) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2018-08-17 |