| NPI | 1093973273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200800757) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2008-00757) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101247675) | |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2014-03-18 |