| NPI | 1588661938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD025214E) |
| Additional Taxonomies | 2085N0904X (Licence: PA MD025214E) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-10-09 |