| NPI | 1689652869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 29405) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: LA 14202) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 14202R) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-09-17 |