| NPI | 1285824086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME109485) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2010009180) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2018-08-14 |