| NPI | 1720094642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 44724) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM md2022-0669) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-07-11 |