| NPI | 1982107744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 99381) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 321055) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 66043) | |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2024-06-24 |