| NPI | 1881680791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS11457) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS007197L) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME D03737) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-01-29 |