| NPI | 1497789242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101226498) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: VA 0101226498) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: VA 0101226498) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-11-10 |