| NPI | 1598899452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD444604) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 218416) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-10-06 |