| NPI | 1285078394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0062655) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WY TL5886) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM A-2133-18) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 2057) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2021-04-23 |