| NPI | 1275992703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101264020) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101264020) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-06-13 |