| NPI | 1528224037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 10807) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-6078) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 45123) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2017-02-21 |