| NPI | 1528068715 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS7955) | 
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS 7955) | 
| Enumeration Date | 2005-07-28 | 
| Last Update Date | 2018-07-25 |