| NPI | 1124381264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301102531) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269617) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL34820) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-01-10 |