| NPI | 1295893287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AL MD.25406) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD201818) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: GA 74735) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-08-02 |