| NPI | 1891795894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD037743L) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C10006428) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2007-10-10 |