| NPI | 1770618951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D38881) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101047482) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD13763) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |