| NPI | 1447246459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 73856) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 23201) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-09-30 |