| NPI | 1285796912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R5972) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062641A) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2018-05-21 |