| NPI | 1952505141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: AZ 42074) |
| Additional Taxonomies | 2085N0700X (Licence: PA MD441656) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD441656) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-10-04 |