| NPI | 1508863549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0071002) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 35007) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 14911A) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2023-06-08 |