| NPI | 1225584550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 287695) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301512420) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 67000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036161764) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME158022) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-02-24 |