| NPI | 1801847421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101229033) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 01716) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 29598) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-21 |