| NPI | 1679912588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101271707) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D91423) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301103568) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-06-29 |