| NPI | 1689628331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD417883) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200300269) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-08-06 |