| NPI | 1306902309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0021331) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD15462) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101043071) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-06 |