| NPI | 1639279607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 22641) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 154435) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH EL08715) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-06-01 |