| NPI | 1487674420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0072660) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 36282) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 16977A) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-08-02 |