| NPI | 1508843798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT MD046345) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI md-13032) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-10-21 |