| NPI | 1225036239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101243565) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 4767961-1205) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2013-09-05 |