| NPI | 1013987569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101242659) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 39770) |
| 2085N0904X Radiology Nuclear Radiology (Licence: TN 39770) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-02-09 |