| NPI | 1578740858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 103594) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 059402) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-07-11 |