| NPI | 1407016280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD452382) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD452382) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME164982) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2024-03-11 |