| NPI | 1609840008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD049055L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD049055L) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-03-26 |