| NPI | 1912902560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 063373L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD-063373-L) |
| Enumeration Date | 2005-06-19 |
| Last Update Date | 2016-12-21 |