| NPI | 1639356553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A109053) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 218545) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2015-06-17 |