| NPI | 1013907294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 43365) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MA 43365) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-08-02 |