| NPI | 1053384487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD058098L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD058098L) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA10641800) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-11-20 |