| NPI | 1922012780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 41708) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 23291) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY 7641A) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM 96-268) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-09-16 |