| NPI | 1154534998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD440755) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101247171) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2008-02037) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT187259) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-10 |