| NPI | 1790962983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME109663) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 233931) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2023-06-22 |