| NPI | 1558309872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD 030223-E) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD030223E) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-08-28 |