| NPI | 1679716757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD443447) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA LT000674) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2019-10-11 |