| NPI | 1093897720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R0394) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2000-01582) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 45198) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-03-21 |