| NPI | 1154594703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 34654) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 8567931-1205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2014-0108) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2022-07-18 |