| NPI | 1679688725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD432302) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 45415) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 75241) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-07-31 |