| NPI | 1780601468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0045085) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101043237) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD039373) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-12-06 |