| NPI | 1487035440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 283380) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA ET90091) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-05-23 |