| NPI | 1366407496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-03986) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME73224) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301059418) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-02-02 |