| NPI | 1245339357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00046417) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12300) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK S-7863) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-01-29 |