| NPI | 1164421772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME54221) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 29788) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-03-18 |