| NPI | 1609960707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 9751) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 74-76) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |