| NPI | 1902896616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0062129) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD MD31736) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101244697) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-08-28 |