| NPI | 1801008271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101253198) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 27695) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY 9590A) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 53388) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2021-10-19 |