| NPI | 1104858307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 058121) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 40089) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-09-13 |