| NPI | 1265484794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 220505) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME140108) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C53755) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025585) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-08-20 |