| NPI | 1508082892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MT MED-PHYS-LIC-69139) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: MT MED-PHYS-LIC-69139) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: LA 333034) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301081598) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-05-03 |