| NPI | 1811975600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 212726) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: MA 212726) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2011-09-27 |