| NPI | 1184643520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301075044) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AL 26915) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-10-07 |