| NPI | 1720274095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME130106) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME130106) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: FL ME130106) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2019-10-01 |