| NPI | 1700040011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 257498) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 253110) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133136) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-11-02 |