| NPI | 1518288232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 266264) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 135065) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2016-07-29 |