| NPI | 1023168622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2011003939) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 2011003939) |
| 2085B0100X Radiology, Body Imaging (Licence: MO 2011003939) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-11-13 |