| NPI | 1013991447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: TX M4393) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 212931) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-10-18 |