| NPI | 1285719716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-00770) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 29249) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101251808) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-05-01 |