| NPI | 1073508925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME122979) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 7588) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-01-09 |