| NPI | 1881840536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 59546) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME147132) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012007272) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-08-22 |