| NPI | 1255409181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 247433) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: ME T0629) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 048386) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-08-11 |