| NPI | 1720114457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 124780) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA L-227659) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-08-05 |