| NPI | 1588839526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0075785) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 242811) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2009-00927) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2014-03-27 |