| NPI | 1275973521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16577) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 273829) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP03043) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-04-29 |