| NPI | 1578791141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101018305) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A11537) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS20789) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-03-14 |