| NPI | 1003878190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2016-0512) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101233785) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 120343) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2024-01-31 |