| NPI | 1083664924 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD24705) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G58158) | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD036452) | |
| Enumeration Date | 2006-05-11 | 
| Last Update Date | 2019-10-16 |