| NPI | 1255728689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: DE C1-0024325) |
| Additional Taxonomies | 2085N0700X (Licence: PA MD475805) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0024325) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD475805) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-07-31 |