| NPI | 1104916253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 52500) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A81074) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-11-08 |