| NPI | 1164694055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME78485) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: FL ME78485) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-09-13 |