| NPI | 1407160419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME124475) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5315037122) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301092773) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2018-11-15 |