| NPI | 1528052727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME91709) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD063657L) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2017-02-23 |