| NPI | 1023470028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U3896) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2022-00538) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171593) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-01-17 |