| NPI | 1619902426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 156183) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 036671) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |