| NPI | 1154325553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200300546) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 23826) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-12-20 |