| NPI | 1275950925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA OP60761643) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL OS15096) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: LA 307824) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2022-01-26 |