| NPI | 1063738045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME132053) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: SC 33821) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-06-22 |