| NPI | 1891943023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0067493) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2008-01479) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N1150) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2022-01-12 |