| NPI | 1861457012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD-15989) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME0092923) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-06-28 |