| NPI | 1003108085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME147636) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD483130) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2023-12-29 |