| NPI | 1982915120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX S7008) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 69214-20) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KY 56555) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-03-21 |