| NPI | 1164692711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 30361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101243188) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD203822) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2021-06-14 |