| NPI | 1528004017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME108533) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 2004-00277) |
| 2085B0100X Radiology, Body Imaging (Licence: FL ME108533) | |
| 2085N0904X (Licence: FL ME108533) | |
| 2085N0904X (Licence: NC 2004-00277) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2004-00277) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-09-02 |