| NPI | 1457382095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301084332) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 47424) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-11-09 |