| NPI | 1356630974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: AZ 58863) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD436723) |
| 2085N0700X (Licence: CO DR.0052538) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133031) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2021-04-15 |