| NPI | 1912931825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME103134) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 161283) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VT 042-0011706) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-06-23 |