| NPI | 1295707867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD041701E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD041701E) |
| 2085B0100X Radiology, Body Imaging (Licence: PA MD041701E) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-03-22 |