| NPI | 1215924790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0066670) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 51928) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2013-12-20 |