| NPI | 1386966927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 50538) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ R71469) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2019-02-18 |