| NPI | 1902920267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL MD.28003) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: AL 28003) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 28003) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-08-17 |