| NPI | 1861806937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV DO2658) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-02959) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5151010435) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-08-18 |