| NPI | 1356378640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101054392) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: VA 0101054392) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-06-29 |