| NPI | 1285849059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 120541) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL L2635) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-03-08 |