| NPI | 1821274721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101246954) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 001422) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-03-22 |