| NPI | 1003831066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101241105) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0087550) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-01-27 |