| NPI | 1891772588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: MA 216888) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 216888) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2012-09-12 |