| NPI | 1124096201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD438787) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 47639) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301101916) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-09-09 |