| NPI | 1225250384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD439652) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C7-0003454) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-09-20 |