| NPI | 1245410240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301046689) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 32398) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2018-07-17 |