| NPI | 1699174847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101266092) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA10491400) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0088764) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2022-02-04 |