| NPI | 1639226582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301510349) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 251155) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD0000041532) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-11-02 |