| NPI | 1447468715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 37703) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-129132) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2021-05-05 |