| NPI | 1922236561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 54975) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 28451) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY TL2950) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-07-16 |