| NPI | 1962432732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 30482) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 54756) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME75538) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-09-12 |