| NPI | 1073705596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 059805) |
| Additional Taxonomies | 2085N0700X (Licence: GA 059805) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.201809) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD201809) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2024-02-28 |