| NPI | 1437478096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 50091) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME120947) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-09-28 |