| NPI | 1376859819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R8328) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 60637-20) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2018-09-10 |