| NPI | 1780851006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2014-02400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101253424) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105062) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2015-06-19 |