| NPI | 1003042607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA OP60104166) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N2802) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036116267) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2011-01-03 |