| NPI | 1770809022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME168986) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD043474) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-07-18 |