| NPI | 1992814396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME130567) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 325055) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-09-08 |