| NPI | 1003845173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 233614) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 11075) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-09-27 |