| NPI | 1013938984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 21611) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 21611) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-06-09 |