| NPI | 1336316868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2014-01277) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC DO034394) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: SC 37595) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MD H0067892) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0102203154) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2017-12-20 |