| NPI | 1366716250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 71662) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AR E-6851) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 62303) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CT 60084) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2024-03-13 |