| NPI | 1700897899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD442067) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME66616) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-07-21 |