| NPI | 1043293095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 90361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 43033) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2017-03-20 |