| NPI | 1003890708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD32821) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0040845) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA O101230697) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00044033) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-09-03 |