| NPI | 1275944035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME162873) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 169263) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-09-15 |