| NPI | 1497752588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 34103) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL Me74267) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-02-15 |