| NPI | 1851367254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101054221) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD22146) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D37644) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2021-12-01 |