| NPI | 1710078746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 54238-020) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD 60041442) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-11-14 |