| NPI | 1861430373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2024-0053) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A87404) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-46189) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-02-14 |