| NPI | 1477715944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NV 15147) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A129651) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX N4050) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-07-12 |