| NPI | 1891998738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 46242) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MS 21846) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-01-28 |