| NPI | 1841503596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A135540) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT196536) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101256352) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-08-18 |