| NPI | 1912311127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 19487) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD211430) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2019008255) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A168105) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-12-16 |