| NPI | 1700866316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101034430) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101034430) |
| 174400000X Specialist (Licence: MD D27202) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-04-27 |