| NPI | 1518177278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101250968) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0071949) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-01-27 |