| NPI | 1295839751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 15598) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH RT-1423) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD 60074651) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-08-16 |