| NPI | 1366603953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD478328) |
| Additional Taxonomies | 2085N0700X (Licence: PA MD478328) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-03-20 |