| NPI | 1194935932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104698) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M5816) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-30 |