| NPI | 1962596205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 47396) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 108779) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-08 |