| NPI | 1245523380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 61510) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 86151) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101264254) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-01-15 |