| NPI | 1760587828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD13866) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00029266) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA G51406) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 146724) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-16 |