| NPI | 1124005871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD11551) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 11551) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 261910) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-11-11 |