| NPI | 1184940330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 047648) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2014-01-15 |