| NPI | 1124054275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA md051842l) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD051842L) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-10-01 |