| NPI | 1740252725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 3851) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 12487C) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 16099) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-12-28 |