| NPI | 1992788566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 53565) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39640) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41020) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-08-29 |