| NPI | 1881698819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G87623) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00036175) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD15620) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-07-10 |