| NPI | 1427296904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME150383) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 048443) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2021-09-03 |