| NPI | 1881821494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2013-01321) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC RTL) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-04-30 |