| NPI | 1518940428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 25537) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: LA 307186) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME83924) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-11-21 |