| NPI | 1508149410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112235) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 50818) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-01-10 |