| NPI | 1407925688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME110532) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 29529) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-10-21 |