| NPI | 1083700397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0057558) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 96-00626) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD438102) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-10-18 |