| NPI | 1265656979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36265) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 42988) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2003013842) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-08-01 |