| NPI | 1700375250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0072261) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 16916A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 36136) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-07-16 |