| NPI | 1982777033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 049487) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME140799) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 321346) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-09-08 |