| NPI | 1194796623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 27669) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 13347) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-08-04 |