| NPI | 1205922978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 42742) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX FTL 41869) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-10-13 |