| NPI | 1235388794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2012-01549) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 35463) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2018-03-17 |