| NPI | 1083605638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 43700) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 211708) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME 014403) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-08-09 |