| NPI | 1740454412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 069921) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.206927) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 271116) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME117789) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-07-14 |