| NPI | 1891790093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 98-00490) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME120133) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101053785) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 49725) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 72652) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 20802) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-12-20 |