| NPI | 1720341860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD466335) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D85261) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-01-23 |