| NPI | 1669456489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101238884) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD035776) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0063531) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-08-09 |