| NPI | 1912981663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD035784) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0061906) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101238751) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-06-17 |