| NPI | 1306896261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A93940) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01055746A) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |