| NPI | 1093706145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME115816) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME115816) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 191648) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-03-24 |