| NPI | 1396865374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL L4846SP) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 43575) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2018-11-14 |