| NPI | 1770890147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME128563) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 12622-I) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-09-19 |