| NPI | 1063452225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME133855) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 331071-1205) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: ID M-10273) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-04-15 |