| NPI | 1780686097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 22473) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 44371) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 34381) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-02-09 |