| NPI | 1831293497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 42702) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 34111) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-06-08 |