| NPI | 1639226053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 057908) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 13632) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-08-18 |