| NPI | 1821041567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 41025) |
| Additional Taxonomies | 2085N0700X (Licence: WI 41025) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-07-06 |