| NPI | 1780764787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AK 3771) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OR 23083) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-03-02 |