| NPI | 1366657512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD451141) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 273988) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301085980) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-03-29 |