| NPI | 1972725265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101243718) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 000968) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-06-12 |