| NPI | 1932528387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 75774) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.075738) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME131208) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-09-01 |