| NPI | 1881865996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 005047) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA 20A 8466) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2021-01-13 |