| NPI | 1669438537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME0060207) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35081171W) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 48527) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-12-13 |