| NPI | 1609820372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME 71096) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: NJ 25MA06449800) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 196838-1) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD058312L) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-11-13 |