| NPI | 1558532085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101272736) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0092137) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD60299672) | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2021-09-13 |