| NPI | 1144212481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 029608) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD14380) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 57783) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-07-21 |