| NPI | 1356328280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: WA MD00024460) |
| Additional Taxonomies | 2085N0700X (Licence: ID M-12390) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK S-6037) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00024460) | |
| 2085N0700X (Licence: AK S-6037) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12390) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301040373) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2025-01-28 |