| NPI | 1699741223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 46632) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24670) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 8004A) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2015-09-16 |