| NPI | 1700028131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0080563) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 4233-320) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 76543) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2024-06-07 |