| NPI | 1922052711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 17106) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00026948) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39819) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-11-28 |