| NPI | 1063434850 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-21958)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD039157E)  | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD039157E)  | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G74106)  | |
| Enumeration Date | 2006-07-24 | 
| Last Update Date | 2022-02-04 |