| NPI | 1093015661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME126536) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY R2531) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2018-06-19 |