| NPI | 1154326304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-23202) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2001023612) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-05-31 |