| NPI | 1912135211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 56309) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A128667) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 270749) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-03-17 |