| NPI | 1043534654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NV 16586) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 34356) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY 14311C) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO CDR.0001517) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2022-10-18 |