| NPI | 1629240627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: KY 53325) |
| Additional Taxonomies | 2085R0001X (Licence: KY TP732) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: MD D0066632) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: KY TP732) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2021-08-10 |