| NPI | 1760467914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR C-7252) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 12733) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-07-10 |