| NPI | 1467688325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA OP60605740) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 764) |
| 208D00000X General Practice (Licence: NE 764) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2016-10-07 |