| NPI | 1861724080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD.206050) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A99371) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD60221755) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2020-06-10 |