| NPI | 1073503678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0056158) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D56158) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-07-21 |