| NPI | 1821402520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5151009503) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0065097) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101021135) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-12-27 |