| NPI | 1972568947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301072713) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 004098) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2013-09-11 |