| NPI | 1851326425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 45712) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D61038) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-12-17 |