| NPI | 1972514784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: LA MD.020048) |
| Additional Taxonomies | 2085N0700X (Licence: CO 32288) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.020048) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 32288) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-07-21 |