| NPI | 1861679870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME109939) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 002024) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2023-06-22 |