| NPI | 1104920370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2007012284) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO T2004017403) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-03-01 |