| NPI | 1689088627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0016170) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D91912) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-08-03 |