| NPI | 1598715351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2016011655) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD425784) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101233755) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-08-16 |