| NPI | 1659390086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD28262) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 200301398) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA A97651) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: UT 12649599-1205) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-03-01 |