| NPI | 1205802998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: ID M6554) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID M6554) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-05-16 |