| NPI | 1982867404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0051122) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301114033) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: UT 11376962-1205) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-11-21 |