| NPI | 1497722342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME76365) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 43187) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 21465) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-08-05 |