| NPI | 1154770774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 23431) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 54578) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 70469) | |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2023-01-10 |