| NPI | 1760580930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: AR E-4581) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV DO2038) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-01-15 |