| NPI | 1740428978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD434582) |
| Additional Taxonomies | 2085N0700X (Licence: PA MD434582) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2021-03-16 |