| NPI | 1770701542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 6586813-1205) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: UT 65868131205) |
| 2085B0100X Radiology Body Imaging (Licence: IL 036-115412) | |
| 2085B0100X Radiology Body Imaging (Licence: IN 01060592A) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-11-15 |