| NPI | 1396855896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52246) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00046580) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 38875) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52782) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-12-23 |