| NPI | 1639192206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD427876) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: PA MD427876) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-10-15 |