| NPI | 1932123155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 37364) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A65823) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-12-15 |