| NPI | 1689889594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 262207-1) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 53637) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD449510) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 13878) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-01-11 |