| NPI | 1255712147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2024-00090) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0065932) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 13714A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 33592) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-05-08 |