| NPI | 1023117942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D81766) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 44232) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-21 |