| NPI | 1225065816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2007-01962) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC TL28800) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 307269) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2018-05-14 |