| NPI | 1164412763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD32858) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14005) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 53321) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2024-05-16 |