| NPI | 1497930994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME143186) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 390200000X) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-09-30 |