| NPI | 1457642456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 77688) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1457642456) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60637503) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2023-03-17 |