| NPI | 1275648131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200300398) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 30374) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-06-21 |