| NPI | 1639371602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24495) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 35498) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 37853) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-02-01 |