| NPI | 1720066889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 74797) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 19404) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0012958) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD11944) | |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2020-03-13 |