| NPI | 1841297736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD024196E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD024196E) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-04-25 |