| NPI | 1528171345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A39673) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX E7512) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2009-12-31 |