| NPI | 1366692717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD038111) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 90785) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-01-28 |