| NPI | 1811920051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD030162E) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: PA MD030162E) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-06-03 |