| NPI | 1376938837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0015688)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D88861)  | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 327568)  | |
| Enumeration Date | 2015-04-01 | 
| Last Update Date | 2024-03-26 |