| NPI | 1023057619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200200495) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M1027) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-03-10 |