| NPI | 1487683603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G31766) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-5837) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R5521) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |