| NPI | 1144330101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D56106) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD417546) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301065321) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-06-07 |