| NPI | 1912262551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101265884) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269509) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087546) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-02-04 |