| NPI | 1396751426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 041221) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071036L) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0012166) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-06-25 |