| NPI | 1386934370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0058589) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 34790) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 13350A) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-07-28 |