| NPI | 1235278276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 5753) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM 2006-0429) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-08-17 |