| NPI | 1760565303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR 29179) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME101244) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD478670) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-09-25 |