| NPI | 1164411591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD10642) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 209954) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 10642) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-03-18 |