| NPI | 1518972884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U3761) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101239831) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2016-0048) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 65092) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-08-07 |