| NPI | 1790930535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 53503) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 27754) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-37113) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI 17588) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2022-12-07 |