| NPI | 1215155890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 37148) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX L9416) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MT 11706) | |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2008-09-12 |