| NPI | 1730165911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 43492) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 24976) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-36346) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD17582) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-01-25 |