| NPI | 1205036225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N1189) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012016184) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-35815) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-06-01 |