| NPI | 1831302215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME138321) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 252763) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD434481) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-01-30 |