| NPI | 1639191299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101273178) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 9785) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00039597) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-06-01 |