| NPI | 1750463436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC AL33005) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 38168) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-09-29 |