| NPI | 1912357831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101026113) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5151010923) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101022574) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-06-07 |