| NPI | 1356305262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00037722) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: ID 12301) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-12-27 |