| NPI | 1659327195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01057193A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 88544) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-02-14 |