| NPI | 1295895720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101058599) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD31267) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D53978) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-01-19 |