| NPI | 1306067608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME131304) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 30508) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200700188) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-08-14 |