| NPI | 1336124825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 37796) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 1164) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 05-37082) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 1592) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2015-06-24 |