| NPI | 1922041623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 49872) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 1074-TEP) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 38408) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52348) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-09-22 |