| NPI | 1396936068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A66997) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NM 2002-0374) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-09-13 |