| 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 |