| NPI | 1730243098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101050769) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD034296) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MD D45543) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-05-08 |