| NPI | 1003847948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC DO1374) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 2542) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 4870) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-11-14 |