| NPI | 1578581484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 051399) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 253868) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 46098) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0109542044) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |