| NPI | 1528229366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 0053752) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 268844) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-08-24 |