| NPI | 1740414531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD454967) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 275303) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-09-11 |