| NPI | 1285895607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: RI MD15714) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 290634) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA A112149) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: RI CMD15714) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-05-16 |