| NPI | 1114183142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME117936) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 047995) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2014-01-28 |