| NPI | 1164495164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD21454) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: DC MD21454) |
| 2085B0100X Radiology, Body Imaging (Licence: MD D0062298) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-07-18 |