| NPI | 1396844395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A96782) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL A96782) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-03-06 |