| NPI | 1336363977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 234449) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 218258) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-05-29 |