| NPI | 1629189105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 47509) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27564) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0436827) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 53012) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 246437) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |