| NPI | 1811955255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 041321) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 262625) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-03-17 |