| NPI | 1588854616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 51608-020) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 247150) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-08-11 |