| NPI | 1811993728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 35366) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 37508) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2017-12-20 |