| NPI | 1063474914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A61242) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 55590) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M9274) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2022-07-01 |