| NPI | 1124281514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: GA 75645) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MD D0078792) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 246329) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2016-09-14 |