| NPI | 1164426797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-23323) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R5N72) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2016-05-17 |