| NPI | 1538121116 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME79380)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M8804)  | 
| Enumeration Date | 2006-04-06 | 
| Last Update Date | 2015-06-24 |