| NPI | 1558570838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 39021) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IA R-7837) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-08-10 |