| NPI | 1780757740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D72174) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD039511) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101249534) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 225534) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-02-07 |