| NPI | 1073662243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0010238) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 231225) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD431328) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-02-28 |