| NPI | 1982755252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D26666) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101032875) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD31358) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2011-11-16 |