| NPI | 1821208398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00739) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 2006018425) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-05-20 |