| NPI | 1982066114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 89897) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D90862) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2022-02-03 |