| NPI | 1336320605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60506776) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N7085) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2021-05-26 |