| NPI | 1750414413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD030026E) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX 42903) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-11-01 |