| NPI | 1417038662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301077854) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 83236) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-07-01 |