| NPI | 1619989316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2008005528) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-084333) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS T01784) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 0433050) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-07-22 |