| NPI | 1376525022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6020) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 219128) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-10-25 |