| NPI | 1891976338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 24502) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 37623) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2010-02-01 |