| NPI | 1538127568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14771) |
| Additional Taxonomies | 2085N0700X (Licence: AZ 24803) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-03425) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-01-11 |