| NPI | 1215293162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD464327) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD044925) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT201581) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-09-27 |