| NPI | 1962710780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14415) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 92688) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-16415) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-04-13 |