| NPI | 1447461272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G58586) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 233695) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-07-06 |