| NPI | 1629040811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME58861) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL 58861) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-06-05 |