| NPI | 1881030997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61018445) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 16254) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU M-2419) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU MTL-2023-026) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 13105C) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 18482) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-11-11 |