| NPI | 1043568496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0012702) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C7-0005122) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD466401) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-04-12 |