| NPI | 1659404267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 238740) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: DE C7003548) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CT 52952) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-01-19 |