| NPI | 1013974948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 25473) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ AZ25473) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2015-05-04 |