| NPI | 1124156625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101250456) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C7-0002773) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0065865) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-10-21 |