| NPI | 1689859431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 47527) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 129515) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27784) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-37071) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17635) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2017-04-07 |