| NPI | 1992124093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A166392) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T7202) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-10-03 |