| NPI | 1194762393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD40885) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD40885) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-06-16 |