| NPI | 1326064858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-8935) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 11319R) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-11-05 |