| NPI | 1821282492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-13092) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301086276) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A117232) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2018-01-10 |