| NPI | 1346234192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 10841) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 54360) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2012-09-06 |