| NPI | 1689813966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: CT 51296) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 51296) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-07-05 |