| NPI | 1093778433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SC MMD.33976) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: ID M9389) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-06-24 |