| NPI | 1104262013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD22806) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 274816) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2019-06-05 |