| NPI | 1538395827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101258181) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 258443) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0087883) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2020-01-27 |