| NPI | 1245362128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD432840) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 231030) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-04-10 |