| NPI | 1326048018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 13664) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD29060) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 3082748-1205) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-12-18 |