| NPI | 1710927827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME96808) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 5860777-1205) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-05-26 |