| NPI | 1154620755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT214851) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 265233) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD463185) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2018-06-15 |