| NPI | 1871579011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 22400) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 25097) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-18349) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD17540) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2022-12-07 |