| NPI | 1114149168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD442402) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD442402) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD179584) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-17 |