| NPI | 1902873441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-29534) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2001029906) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2013-03-28 |