| NPI | 1619907706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 8027) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2010011821) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 05-34584) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-03-25 |