| NPI | 1710938931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301099729) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 223546) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-11-03 |