| NPI | 1811938350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 72054) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 228258) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-06-21 |