| NPI | 1679927776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R5293) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME166104) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD27586) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-12-16 |