| NPI | 1679683692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD20060587) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 48730020) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-27 |