| NPI | 1710934427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 79382) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72831) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 33177) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-07-17 |