| NPI | 1053316257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.12844) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 12844) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-10-28 |