| NPI | 1396977211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61609899) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S3086) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 65892) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A115390) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2024-11-11 |