| NPI | 1508814674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 22732) |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics (Licence: WA MD00022084) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00022084) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-05-13 |