| NPI | 1316083421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME105516) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G80587) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-08-16 |