| NPI | 1154338879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MS 16577) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AL 00021096) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |