| NPI | 1356323158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL 0056216) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: ME MD26783) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2025-01-27 |