| NPI | 1154307619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD10992) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 10992) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-04-16 |