| NPI | 1336183482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 11247) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A93830) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD445453) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-02-24 |