| NPI | 1720054554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD048984L) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 94354) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-10-30 |