| NPI | 1417038506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 13955) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 032.0000555) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-01-02 |