| NPI | 1811372402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME149005) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D89104) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-01-02 |