| NPI | 1750383915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: NC 20781) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 20781) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-05-27 |