| NPI | 1124386404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 62031) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP10043651) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q8174) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-05-12 |