| NPI | 1194041996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q8522) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 21830) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E8043) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-09-09 |