| NPI | 1366758211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 54136) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 240414) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2015-07-16 |