| NPI | 1598704587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD36146) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 215587) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-09-07 |