| NPI | 1811002181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J5784) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME72432) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-02-27 |