| NPI | 1265876866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS023074) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 68693-21) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 74310) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2024-03-01 |