| NPI | 1275624397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101233562) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME155070) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-06-16 |