| NPI | 1619040672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53198) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 224345) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-12-02 |