| NPI | 1487684999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 37000) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 48169-020) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-02-01 |