| NPI | 1821232588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2015-00543) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 38524) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 071725) | |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2017-12-20 |