| NPI | 1053347146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K3368) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me77455) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-06-19 |