| NPI | 1336186097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C53035) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N4268) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-12-16 |