| NPI | 1013244052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 65130) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0012375) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 242777) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08351100) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 242811) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2020-06-24 |