| NPI | 1326124629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160941) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 221159) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35093237) | |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2023-10-12 |