| NPI | 1912950809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2015-0754) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 033087) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-10-21 |