| NPI | 1174630230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD037649) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME121936) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L3324) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-03-20 |