| NPI | 1316173099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R2493) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0076240) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2020-01-06 |