| NPI | 1124096284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD035855) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 22026) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 43430) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-08-09 |